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PROTOCOL FOR MANAGEMENT OF AN ICS HEALTH DATA UNITNorth Dakota Department of Health
Document Purpose.The purpose of this document is to describe the structure and function of an incident command organized Health Data Unit including the identification of its resource needs, staffing patterns and data sources. This document also provides descriptions which may guide data management in disaster situations in which the data unit is not activated.
The described data unit is limited to disasters which require data processing related to health. It is not the intent of this document to describe a data unit which would be activated for an environmental emergency. Although a similar structure might be used for environmental disasters, personnel, skill sets, data sources and products would be very different.
Data Unit TasksDepending on the staffing available for the data unit, it may become necessary to prioritize requests for data or decrease the frequency of standardized reports. The tasks which are likely to be assigned to the data unit include: Primary collection of data, especially to fill incomplete data elements; Secondary acquisition of data from surveillance systems (e.g., Disease Control, vital
statistics) and directly access other data systems (e.g., HC Standard); Recommendations for changes in surveillance methods such as adjustment of HC
Standard tables; Providing technical assistance to primary reporters accessing data systems (e.g., HC
Standard); Analysis of data to produce tabular data primarily, but also text, graphs and maps as
indicated. Transmission of standardized reports to the DOC or other users to which the data unit
has been asked to provide specific pieces of data; Transmission of analytic results to Disease Control for further work or interpretation; Special analysis or report preparation requested by the DOC or by Disease Control; Alerting of DOC of critical thresholds identified in the data; Technical assistance to public information officers preparing information release to
the media; Updating NDDoH informational web sites such as data displays or policy boards; Monitoring specific real time data systems, particularly POD un-dispensed antibiotics
or vaccine and un-dispensed antivirals at all dispensing sites (banks, pharmacies, clinics) and cache supplies.
Categories of Data Morbidity and mortality; Disease epidemiology (e.g., high risk groups for disease and death, disease
progression, disease distribution); Impact on health care system, including inpatient, outpatient and transport ;
Created December 31, 2008Modified December 3, 2014
1
Isolation and quarantine, including line listings and social need; Social distancing, including compliance and impact; Antivirals/antibiotics, including progress with distribution and inventories; Mass vaccination, including inventories and progress; Priority vaccination, including coverage of key infrastructure and second dose
completion; Medical and POD supply inventories and rate of use; Mental health impact; Workforce, including availability and assignments and may include local, state and
federal.
ICS Decisions Supported Change in legal authority via executive order; Change in standard of care; Patient transfer to even out hospital overload; Health care recommendations including EMS triage protocols, admission criteria,
allocation of ventilators and palliative care guidance; Allocation and conservation of medical supplies; Suspension of elective admissions; Opening and closing of MCF facilities and change in MCF policies; Allocation of priority vaccine among domains and local areas; Local mass vaccination sites requiring assistance; Education efforts required; Restriction on inappropriate antiviral usage; Policy change to slow rate of antiviral dispensing; Implementation of alternative distribution methods or timetables; Change in security procedures; Actions to promote social distancing; and, Maintenance of adequate resources for mass dispensing.
Activation.The data unit will be activated as an incident command decision. In most health events, the Division of Disease Control is expected to take the lead in data analysis related to its mission, and in most disasters data processing needs are likely to be fully meet by Disease Control resources. Circumstances likely to trigger the activation of this unit include: Need to draw upon additional analytic resources (especially non-acute
epidemiologists) outside the Division of Disease Control; Need to establish 24 hour data processing capability for a prolonged period; Need to collect or process large amounts of data which are not typically handled by
Disease Control.
Command and Control.The data unit will function under the authority of the Planning Chief of the Department Operations Center of NDDoH. The Data Unit Director may report to the Planning Chief or a designee of the planning chief. However, since the data unit will share data
Created December 31, 2008Modified December 3, 2014
2
production responsibilities with Disease Control, it is assumed that the data unit lead will also manage data requests which come directly from Disease Control and provide results back to Disease Control.
Work load requirements will determine the size of the data unit. In some disaster events, the Data Unit Director may be the only person assigned to the data unit. The Data Unit Director may request, through the incident command system, the assignment of specific individuals known to have skills needed by the data unit or the assignment of additional personnel without specific skills depending on the task requirements. Expansion of staff may be for a single shift or may represent a sustained increase in the capacity of the unit.
Data Unit DirectorThe Data Unit Director on duty will receive all incoming requests for data and allocate those tasks to the personnel assigned to the data unit. As work loads increase, the Data Unit Director may spend an increasing percentage of his or her time in unit management rather than data processing. One person will be the lead Data Unit Director who will assume overall policy and management decisions. Responsibilities of the lead Data Unit Director include: Requesting personnel with the skills to accomplish requested tasks by working
through the DOC; Drafting a staffing schedule and communicating with the Logistics Section assigned
personnel manager for the DOC; Establishing a production schedule for completion and transmission of data reports; Establishing standardized data report formats, whether the same or different than the
sample formats provided with this document; and, Making policy recommendations or requests regarding surveillance systems for data
collection (e.g., adding or removing data elements, changing data collection methods, change source of data used for reports). Depending on the surveillance system the decision may lie within another jurisdiction such as the Division of Disease Control;
Receiving all requests for work and allocating them to staff; Assisting other unit members with tasks or problem solving, whether directly or by
assignment; Assigning a supervisory command structure which most efficiently completes the
tasks; Ensuring the quality of data released including accuracy, labeling, and dating/timing
and ensuring adequate documentation of limitations on the released data; Ensuring that the production schedule is met; Ensuring that products are transmitted to all designated recipients in a timely manner; Ensuring that privacy policies are followed for protection of protected and
confidential data; and, Reviewing data results for thresholds which need to be communicated by phone call
or otherwise acted upon.
Skill Set Requirements of Data Unit. Personnel assigned to the data will fall into three categories:
Created December 31, 2008Modified December 3, 2014
3
Director – See tasks assigned above. This person is expected to be able to function as an analyst when not performing administrative duties;
Analyst – Persons having the analytic skills to process record level data, evaluate the findings, identify data limitations and prepare data products;
Data Assistant—Persons without specialized data skills who can be assigned non-technical tasks (e.g., data entry, document formatting, data collection, result confirmation, data transmission).
Although not all persons assigned to the data unit will need to be proficient in all skills, the unit as a whole will need to have access to all of the following skills. Intermediate skill in use of analytic software; Basic skill in use of GIS software; Intermediate skill in use of presentation software for graphic production; Basic skill in use of spreadsheets; Intermediate skill in use of word processing software; Basic skill in use of web publishing software; Basic skill in use of word processing software; Basic skill in use fax machine, email software; Intermediate skill in use of HC Standard. Intermediate Internet use proficiencyAdditional skills or higher level skills than those listed above may be needed for completion of specific tasks. Potential additional skills which might be needed include accessing data using disease control surveillance, immunization registry data, SNS inventory software and use of outbreak management software. For infrequent requests which require a higher level of skills, the Data Unit Director can decide whether to change personnel assignments or draw on other personnel inside or outside NDDoH who can assist with the requested task.
Location.The data unit may function as a centralized or decentralized unit depending on its size and expected duration of existence. For a large disaster such a moderate or severe influenza pandemic, the data unit will function most efficiently if it is centralized to a single room or adjacent offices where assigned members can be in close contact. Because of the logistic challenge of accomplishing this, in many disasters in which it is activated, the data unit will be decentralized.
Resource Needs.Analyst computers should have the following: Microsoft Office including Publisher SAS or SPSS depending on personal proficiency Microsoft Outlook Abobe Acrobat Reader High speed internet access Access to a printer by direct connection or network Access to a shared server drive with the DOC, and may require different shared drive
with Disease Control
Created December 31, 2008Modified December 3, 2014
4
Access to a fax machine and landline telephone
Additional software which will be needed by some analysts: Adobe Acrobat (professional) ArcMap EpiInfo Access Microsoft Expressions Web DBMS Copy (converts databases between formats including SAS and SPSS) Telephone with video conference capability
In addition to the basic analyst package, the Director on duty should have: Desktop videoconferencing software Cell phone
Data assistants should have: Microsoft Office including Publisher Microsoft Outlook Abobe Acrobat Reader High speed internet access Access to a printer by direct connection or network Access to a single shared server drive (to be designated at the time of the event) Access to a fax machine and landline telephone
Data Assumptions. Data will be collected or retrieved from diverse sources. Some of the data will be incomplete requiring retrieval of data elements before
analysis and requiring footnotes to document data limitations; Not all data processing will occur in the data unit; some may be assigned in other
units, especially Disease Control, where greater expertise with some types of data will exist;
Large expenditures of effort for ad hoc data collection will be manpower intensive, but the persons assigned to these tasks will not need to be epidemiologists or data analysts;
Some of the data used by the data unit will be confidential; however, little of the data output by the data unit will be confidential;
Most data reports will be produced once per day; however, some data output may be needed more than once per day and other data may be produced less than daily or only on request;
The sources of some types of data will fluctuate as institutions such as community morgues, minimum care facilities or NDMS facilities open and close in response to disaster;
The data results will need to be released in easy to use report formats; Some types of data (i.e., data that is not health or health care related) will be outside
the usual scope of data analysis of the unit even though that data may be needed by
Created December 31, 2008Modified December 3, 2014
5
the DOC. It is expected that other data processing capacity will be used to produce non-health data.
Categories of Data NeedThe following categories of data are expected to be needed in some or all health events: Deaths (incidence, cumulative incidence, geographic location, demographic
characteristics, total and disaster related cause, temporal trends, source (hospital, MCF, community), recovered/un-recovered, unidentified, contaminated);
Attack rates (case counts, geographic distribution, temporal trends); Epidemiologic risk factors (risk factors); Hospital and Minimum Care Facilities (MCF) admissions (incidence and cumulative
incidence, palliative patients, residual capacity, facility mortality, rate of increase); Hospital and MCF capacity and overcapacity (staffing percentage for critical and
non-critical, percentage over usual capacity, hospital specific, rate of increase); Outpatient care (patient access, unmet needs, medication access, wait times) EMS (operational and non-operational, uncovered areas, restricted capacity, altered
protocols) LTC unit capacity and overcapacity (staffing percentage, percentage over usual
capacity, additional patients being cared for); Community morgue occupancy and residual capacity (rate of increase, dispositions
made); Ventilators (in use, not in use, additional needed); Un-dispensed antibiotics, vaccine or antivirals at dispensing sites (inventory, rate of
use, need for re-supply); State cached material (rate of use, facility-specific); Status of dispensing sites (open or closed, percentage of target population covered,
wait times); Second dose vaccination completion; Isolation and quarantine status (number of patients, voluntary vs involuntary,
measures of compliance, evidence of continued new case contagion); Case-tracking line listing; State and local public health workforce availability (percentage staffing, staffing
shortfalls, skill shortfalls) Volunteer availability (medical and non-medical, additional need, recruitment
success, attrition, occupational risk (e.g., volunteer illness); Community compliance and impact with social distancing (economic/social impact,
public acceptance, efficacy); Mental health impact (prevalence of acute mental illness, decompensation, unmet
need for chronic mental illness) ;
Sources for Data Elements.
Indicator Source Utility Anal.Value
Incident deathsVital Statistics + Provides causality Med
Created December 31, 2008Modified December 3, 2014
6
+ Captures deaths at all community locations+ Provides epidemiologic detail- Delay in reporting limit utility to ICS
Hospital and MCF via HC Standard
+ Potentially same day reporting + Causality available- Epidemiologic detail may be difficult to capture - Some sites will require daily contact- Does not capture deaths in the community
High
Community Morgue via HC Standard
+ Potentially same day reporting + Captures both community and institution deaths+ Provide final disposition- Not in use in all communities or all disasters- May split services with funeral homes- Not available early or late in epidemic- No pre-prepared contact list available - Some sites will require daily contact- Causality and epi detail unavailable
High
Attack RatesEpi Investigation
+ When usual, accurate, timely and detailed data including case count- Only available for small events or early in large outbreaks- Case finding may be difficult in some events
Med
Business Absenteeism
+ Provides workforce statistics + May be more easily obtained for some business (health-care and public health)- Ability of sites to determine reason for absenteeism - Does not provide a population cross-section - No surveillance system for collection - Severe events may close businesses- Does not capture children
Med
Outpatient Visits
+ Provides healthcare system data also- Indirect measure of attack rate- Underestimates case numbers- No surveillance mechanism for outpatient visits- No epidemiologic detail - Affected by changing access
Med
Requests for Antivirals
+ Readily available and timely+ Captures all ages
Med
Created December 31, 2008Modified December 3, 2014
7
- Epidemiologic detail limited- Only available for pandemic influenza- Underestimate attack rate
Long Term Care Reporting of Outbreak
+ Needed indicator for potential action - Not a useful measure for attack rate
Med
Healthcare Utilization
Hospital Admissions and Capacity via HC Standard
+ Timely+ Critical indicator of system overload- Stimulated reporting likely necessary from some- No epidemiologic detail - Does not provide discharge disposition
High
Outpatient Visits for Disaster-Related Illness
+ Valuable indicator of system overload- No surveillance mechanism- No epidemiologic detail
Med
Long Term Care Capacityvia HC Standard
+ Useful indicator of system overload+ Surveillance mechanism identified- Stimulated reported likely needed for some - Not provide much indication of disease activity
Med
Morgue Capacity via HC Standard
+ Needed indicator + Readily available- Stimulated reporting likely needed for some
Epidemiologic Risk Factors
Vital Statistics + High quality data+ Analysis can be based on incomplete reporting- Delay limits utility for IC decision making
Med
Epi Investigation
+ High quality data + Readily available for small outbreaks or early in large outbreaks+ Analysis can be based on incomplete reporting- Too labor intensive for large outbreaks- Will have difficulty providing data on risk of death
High
Data from other states
+ Data quality likely reasonably good+ May provide data on risk of death
High
Created December 31, 2008Modified December 3, 2014
8
- Only available in multi-state outbreaks where cases occur sooner than in North Dakota (e.g., most pandemics)
Hotline calls + Readily available in real time+ Data collection likely limited for higher intensity scenarios due to capacity+ Provides information on vaccine or medication adverse events- No denominator available- May not provide type of information desired
High
Materials and Equipment
Cache Supplies + Captured in real time+ Critical for policy to sustain availability- Large number of items makes tracking complex- Tracking facility use rate complex
High
Ventilator Use Reporting Via HC Standard
+ Surveillance system identified- Early indicator of unmet need- Provides no indication of how vents are allocated
High
Un-dispensed Drug or Vaccine
+ Critical indicator for action + Readily available + Provides measure for population coverage + Indicator of POD problems
High
Second Dose of Vaccine Administered
+ Critical indicator for action + Anticipated capture by NDIIS
High
Personnel Tracking
Volunteer Database
+ Provides indication of recruitment over time - Does not provide indication of volunteers actually in use- Does not provide information on volunteer availability
Med
State Strohl System
+ Provides information on critical job functions+ Provides information on duty assignment- Does not track fitness for duty and reason for absenteeism- Limited access- Does not information of specific action
Med
Created December 31, 2008Modified December 3, 2014
9
assignment and availability for new role - Does not provide information on local capacity- Does not provide detailed information on skills
Social Distancing Compliance and Acceptability
Mental Health Impact and Need
EMSEMS Database + Run types and number of runs
- No capacity or personnel loss statistics
Data Unit Reports. Not all content or display elements would necessary be displayed in all events. Reports modeled here are modeled on pandemic influenza.
CONTENT FREQ AND SOURCE DISPLAYMortality Report DailyIncident Deaths – Disaster Related
1. Hospital and MCF reports2. Vital Statistics
Table: statewide 24 hour deaths and cumulative deaths Table: County specific 24 hour and cumulative deathsGraph: Temporal incidenceGraph: Cumulative incidence Map: Temporal incidenceMap: Cumulative Incidence
Incident Deaths – All Cause
1. Community morgue (if open) – HC Standard2. Hospital and MCF reports3. Vital Statistics4. Reports from funeral homes (some stages of event)
Table: Area wide 24 hour and cumulative Table: County specific 24 hour and cumulativeGraph: Temporal incidenceGraph: Cumulative incidence Temporal incidence mapCumulative Incidence map
Hospital Mortality 1. Hospital reports – HC Standard
Tables: Disaster Related, 24 hour and cumulative, by hospitalTables: All Cause, 24 hour and cumulative deaths, by hospital
Created December 31, 2008Modified December 3, 2014
10
Community Morgue(when open)
1. Morgue reports – HC Standard
Table: 24 hour admits by facilityTable: Total bodies by facilityTable: Unidentified body counts by facilityTable: Un-retrieved bodies by communityTable: Final dispositions 24 hours and cumulative
Heath-Care Capacity Report
Daily
Hospital Admits and Discharges
Hospital – HC Standard Table: Number of total admits and discharges for past 24 hours by facility, including number of disaster-related admits and dischargesMap: Number of inpatients per 1000 population by county
Hospital Staffing Hospital – HC Standard Table: Percentage of usual staffing for critical care and non-critical care by facility for past 24 hours and previous two days including percentage change
Hospital Overload Hospital – HC Standard (calculated value)
Table: Critical and non-critical census for past 24 hours and two previous days by facility, including usual staffed beds for critical and non-critical and percentage overloadMap: Average percentage overload by CountyGraph: Statewide time trend in average percentage overload since onset of event
MCF Load MCF Reports (HC Standard) Table: Census of MCF for past 24 hours and for two previous days by facility, including percentage change, number of assisted-living and acute care patients and maximum planned acute and assisted living capacityMap: MCF percent acute capacity by County
LTC Probably HC Standard Table: 24 hour deaths, number of patients with disaster-related illness, number of usual staff beds, census, percentage of usual staffing level by facilityMap: LTC percentage capacity by County
Outpatient Clinics No identified source Table: Number of disaster-related
Created December 31, 2008Modified December 3, 2014
11
patients seen past 24 hours and two previous days, by facility Map: Number of disaster-related outpatients seen per 1000 population, by county
EMS EMS data Map: Uncovered areas, areas with reduced services by severity (triage protocol)Table: Daily influenza and total runs by ambulance service and calls not responded toTable: EMS service by status, percentage usual personnel, ALS capable, BLS capable
Community Containment Report
Daily
Isolation and Quarantine
LPHU and DC will need to use software to track individuals. Primary data responsibility may lie with entity issuing order or recommendation
Table: Number of patients under voluntary and mandatory I&Q by CountyMap: Number of patients under I&Q by CountyGraph: Time trend statewide of number of patients under I&Q by dayLine Listing: All patients by household and patient name under I&Q by LPHU jurisdiction, including date of confinement, anticipated end of confinement, compliance method, agency responsible for social care
Social Distancing Data collection form completed by LPHU
Line Listing by County including status and compliance by domain (school, business, church, retail, public, teens)Assessment of impact Assessment of acceptabilityAssessment of compliance fatigue
Epidemiology Report Weekly or as neededDisease Progression Aggregate of diverse sources
- hospital absenteeism- State employee absenteeism- Might need to set up “sentinel business” reporting
Text: Estimated attack rates and spread of disease, trend analysis, projected epi-curveTable: Estimated attack rate for available countiesMap: Disease severity by county
Risk of illness and death
Vital dataOther state data if availableHC Standard not setup to
Attack rate and mortality by age group and risk group (pregnant, secondary conditions)
Created December 31, 2008Modified December 3, 2014
12
collect this type infoMitigation Impact Report
Unknown data source Table/Text: Description of impact of social distancing on communities including transmission rate and negative impact on infrastructure for all counties for which data exists
Prophylaxis and Treatment Report
Daily
POD Progress IMEDDS HC standard reports?
Table: Open PODs, number served last 24 hours, cumulative number served and percent of target population coverageTable: Daily number served for waveMap: PODs open and percentage coverage of target population
Antibiotic Supply Inventory tracking software Table: Number of doses or courses of antibiotics on hand on hand, estimated time until supply exhaustedTable: Number of courses or doses held by state in cache
Vaccine Second Dose NDIIS Table: Number and population rate of persons overdue for second dose of vaccine (e.g., 60 days post first dose)
Priority Vaccine Coverage
Data source not identified Table: Each infrastructure domain, number of units allocated and percentage of target coverage achieved
Antiviral Supply Inventory tracking software Table: Estimated number of persons served in the past 24 hours and cumulative, by dispensing siteTable: Number of courses of antivirals on hand and estimated time until supply exhausted. Table: Number of courses held by state in cache
Re-supply List Inventory tracking softwareHC Standard requests
Table: Separate list of sites requiring re-supply for each supplier (Dakota Drug, Kreiser, RSS) for antibiotics, vaccine and antivirals
Adverse Event Report Additional definition needed.Appears that primary source will need to be hotline data
Line Listing: Cumulative list of all persons reporting adverse events related to prophylaxis and resolution status
Medical Supply Report
Daily
Cache Report Inventory tracking software Table: List of each cache item,
Created December 31, 2008Modified December 3, 2014
13
beginning number of item pre-event, remaining number, percentage of total remaining, number sent out in past 24 hours, estimated date of supply exhaustion based on current use rate.Graph: Time curve of distribution for selected items showing daily distribution number since start of event. Section of items for display will depend on perceived potential for shortage or item criticality (especially IV fluids, PPE).
Critical Item Hospital Use Rate
HC Standard Table: Daily rate of use of PPE and IVF per 1000 for each hospital for duration of event
Workforce Report Daily
NDDoH Personnel(may or may not be produced by the data unit)
Strohl System only in part Table: Each employee assigned to NDDoH, fitness for duty, current assignment, location, comments/notesTable: Each employee assigned to NDDoH with shift worked for each day of the event
Local workforce loss Data source not determined Table: Estimated percentage of workforce available for work, by county
Mental Health Report TBD
Created December 31, 2008Modified December 3, 2014
14
ATTACHMENTSNOTE: LISTS OF SPECIFIC ENTITIES (LTCF, HOSPITALS, EMS) MUST BE UPDATED AT TIME OF EVENT.
Created December 31, 2008Modified December 3, 2014
15
SAMPLE DEATH REPORT [DATE] [TIME]
Data Quality: Good Data Quality: FairIncident Wave Cumulative from [DATE]
New deaths due to any cause x New deaths due to influenza 24 hours xTotal deaths due to any cause x Total influenza deaths x
Created December 31, 2008Modified December 3, 2014
16
Cumulative Number of Influenza DeathsNorth Dakota, January 1-- January 10, 2009
1 5 25 4590
140
215
293340
440
0
100
200
300
400
500
Year
Perc
enta
ge
Incident Number of Influenza DeathsNorth Dakota, January 1-- January 10, 2009
1 4
2030
4550
75 78 7770
0
20
40
60
80
100
YearPe
rcen
tage
Cummulative Number of All Cause DeathsNorth Dakota, January 1-- January 10, 2009
21 4585
125190
260
345
453520
640
0100200300400500600700
Year
Perc
enta
ge
Incident Number of All Cause DeathsNorth Dakota, January 1-- January 10, 2009
21 24
4450
6570
95 98 9790
0
20
40
60
80
100
Year
Perc
enta
ge
MAP OF CUMULATIVE DEATHS BY COUNTY
MAP OF INCIDENT DEATHS BY COUNTY
Data Quality: FairIncident and Cumulative Disaster Deaths
COUNTY INCIDENT CUMULATIVEAdamsBarnesBensonBillingsBottineauBowmanBurkeBurleighCassCavalierDickeyDivideDunnEddyEmmonsFosterGolden ValleyGrand ForksGrantGriggsHettingerKidderLamoureLoganMcHenryMcIntoshMcKenzieMcLeanMercerMortonMountrailNelsonOliverPembinaPierceRamseyRansom
Created December 31, 2008Modified December 3, 2014
17
RenvilleRichlandRoletteSargentSheridanSiouxSlopeStarkSteeleStutsmanTownerTraillWalshWardWellsWilliams
Created December 31, 2008Modified December 3, 2014
18
Data Quality: GoodDisaster-Related Deaths
DATERegion County City Hospital Incident Cumulative SW Adams Hettinger West River Regional Medical CenterSEC Barnes Valley City Mercy HospitalNWC Bottineau Bottineau St. Andrew's Health CenterSW Bowman Bowman Southwest Healthcare ServicesSWC Burleigh Bismarck St. Alexius Medical CenterSWC Burleigh Bismarck Medcenter One Health SystemsSE Cass Fargo Innovis HealthSE Cass Fargo MeritCare HospitalSE Cass Fargo Fargo VASE Cass Fargo Prairie St John'sSE Cass Fargo SCCI Hospital – FargoNEC Cavalier Langdon Cavalier County Memorial HospitalSEC Dickey Oakes Oakes Community HospitalNW Divide Crosby St. Luke's HospitalSWC Emmons Linton Linton HospitalSEC Foster Carrington Carrington Health CenterNE Grand F Grand Forks Altru Health SystemNE Grand F Northwood Northwood Deaconess Health CenterSWC Grant Elgin Jacobson Memorial Hospital Care CenterNE Griggs Cooperstown Cooperstown Medical CenterSEC McIntosh Ashley Ashley Medical CenterSEC McIntosh Wishek Wishek Community Hospital and ClinicsNW McKenzie Watford City McKenzie County Memorial HospitalNWC McLean Turtle Lake Community Memorial HospitalNWC McLean Garrison Garrison Memorial HospitalSWC Mercer Hazen Sakakawea Medical CenterNW Mountrail Stanley Mountrail County Medical CenterNE Nelson McVille Nelson County Health System-HospitalNE Pembina Cavalier Pembina County Memorial HospitalNEC Pierce Rugby Heart of America Medical Center NEC Ramsey Devils Lake Mercy HospitalSE Ransom Lisbon Lisbon Area Health ServicesNEC Rolette Rolla Presentation Medical CenterSWC Sioux Fort Yates IHS Standing Rock HospitalSW Stark Dickinson Saint Joseph's Hospital and Health CenterSW Stark Richardton Richardton Health CenterSEC Stutsman Jamestown Jamestown HospitalSEC Stutsman Jamestown North Dakota State HospitalNEC Towner Cando Towner County Medical CenterSE Traill Hillsboro Hillsboro Medical CenterSE Traill Mayville Union HospitalNE Walsh Grafton Unity Medical CenterNE Walsh Park River First Care Health CenterNWC Ward Kenmare Trinity Kenmare Community HospitalNWC Ward Minot Trinity Health
Created December 31, 2008Modified December 3, 2014
19
SEC Wells Harvey St. Aloisius Medical CenterNW Williams Tioga Tioga Medical CenterNW Williams Williston Mercy Medical Center
Created December 31, 2008Modified December 3, 2014
20
Data Quality: GoodAll Cause Deaths
DATERegion County City Hospital Incident Cumulative SW Adams Hettinger West River Regional Medical CenterSEC Barnes Valley City Mercy HospitalNWC Bottineau Bottineau St. Andrew's Health CenterSW Bowman Bowman Southwest Healthcare ServicesSWC Burleigh Bismarck St. Alexius Medical CenterSWC Burleigh Bismarck Medcenter One Health SystemsSE Cass Fargo Innovis HealthSE Cass Fargo MeritCare HospitalSE Cass Fargo Fargo VASE Cass Fargo Prairie St John'sSE Cass Fargo SCCI Hospital – FargoNEC Cavalier Langdon Cavalier County Memorial HospitalSEC Dickey Oakes Oakes Community HospitalNW Divide Crosby St. Luke's HospitalSWC Emmons Linton Linton HospitalSEC Foster Carrington Carrington Health CenterNE Grand F Grand Forks Altru Health SystemNE Grand F Northwood Northwood Deaconess Health CenterSWC Grant Elgin Jacobson Memorial Hospital Care CenterNE Griggs Cooperstown Cooperstown Medical CenterSEC McIntosh Ashley Ashley Medical CenterSEC McIntosh Wishek Wishek Community Hospital and ClinicsNW McKenzie Watford City McKenzie County Memorial HospitalNWC McLean Turtle Lake Community Memorial HospitalNWC McLean Garrison Garrison Memorial HospitalSWC Mercer Hazen Sakakawea Medical CenterNW Mountrail Stanley Mountrail County Medical CenterNE Nelson McVille Nelson County Health System-HospitalNE Pembina Cavalier Pembina County Memorial HospitalNEC Pierce Rugby Heart of America Medical Center NEC Ramsey Devils Lake Mercy HospitalSE Ransom Lisbon Lisbon Area Health ServicesNEC Rolette Rolla Presentation Medical CenterSWC Sioux Fort Yates IHS Standing Rock HospitalSW Stark Dickinson Saint Joseph's Hospital and Health CenterSW Stark Richardton Richardton Health CenterSEC Stutsman Jamestown Jamestown HospitalSEC Stutsman Jamestown North Dakota State HospitalNEC Towner Cando Towner County Medical CenterSE Traill Hillsboro Hillsboro Medical CenterSE Traill Mayville Union HospitalNE Walsh Grafton Unity Medical CenterNE Walsh Park River First Care Health CenterNWC Ward Kenmare Trinity Kenmare Community HospitalNWC Ward Minot Trinity Health
Created December 31, 2008Modified December 3, 2014
21
SEC Wells Harvey St. Aloisius Medical CenterNW Williams Tioga Tioga Medical CenterNW Williams Williston Mercy Medical Center
Created December 31, 2008Modified December 3, 2014
22
MORGUE REPORT
Region County CityNew Admits
Total Bodies
Not Identified
CommunityUnretrieved
Interred
SW Adams Hettinger SEC Barnes Valley City NWC Bottineau Bottineau SW Bowman Bowman SWC Burleigh Bismarck SWC Burleigh Bismarck SE Cass Fargo SE Cass Fargo SE Cass Fargo SE Cass Fargo SE Cass Fargo NEC Cavalier Langdon SEC Dickey Oakes NW Divide Crosby SWC Emmons Linton SEC Foster Carrington NE Grand F Grand Forks NE Grand F Northwood SWC Grant Elgin NE Griggs Cooperstown SEC McIntosh Ashley SEC McIntosh Wishek NW McKenzie Watford City NWC McLean Turtle Lake NWC McLean Garrison SWC Mercer Hazen NW Mountrail Stanley NE Nelson McVille NE Pembina Cavalier NEC Pierce Rugby NEC Ramsey Devils Lake SE Ransom Lisbon NEC Rolette Rolla SWC Sioux Fort Yates SW Stark Dickinson SW Stark Richardton SEC Stutsman Jamestown SEC Stutsman Jamestown NEC Towner Cando SE Traill Hillsboro SE Traill Mayville NE Walsh Grafton NE Walsh Park River NWC Ward Kenmare NWC Ward Minot SEC Wells Harvey NW Williams Tioga
Created December 31, 2008Modified December 3, 2014
23
NW Williams Williston
Created December 31, 2008Modified December 3, 2014
24
SAMPLE HEALTH CARE CAPACITY REPORT
HOSPITALADMISSION DISCHARGE STATUS
County Hospital
24 hour [DISEASE]Admits8am [date] to 7:59am [date]
24 hour All-CauseAdmits8am [date] to 7:59am [date]
24 hour Discharges 8am [date] to 7:59am [date]
Current Census
AdamsWest River Regional Medical Center
Barnes Mercy HospitalBottineau St. Andrew's Health Center
BowmanSouthwest Healthcare Services
Burleigh St. Alexius Medical Center
BurleighMedcenter One Health Systems
Cass Innovis HealthCass MeritCare HospitalCass Fargo VACass Prairie St John'sCass SCCI Hospital - Fargo
CavalierCavalier County Memorial Hospital
Dickey Oakes Community HospitalDivide St. Luke's HospitalEmmons Linton HospitalFoster Carrington Health CenterGrand F Altru Health System
Grand FNorthwood Deaconess Health Center
GrantJacobson Memorial Hospital Care Center
Griggs Cooperstown Medical CenterMcIntosh Ashley Medical Center
McIntoshWishek Community Hospital and Clinics
McKenzieMcKenzie County Memorial Hospital
McLeanCommunity Memorial Hospital
McLean Garrison Memorial HospitalMercer Sakakawea Medical Center
MountrailMountrail County Medical Center
NelsonNelson County Health System-Hospital
PembinaPembina County Memorial Hospital
PierceHeart of America Medical Center
Ramsey Mercy HospitalRansom Lisbon Area Health Services
Created December 31, 2008Modified December 3, 2014
25
Rolette Presentation Medical CenterSioux IHS Standing Rock Hospital
StarkSaint Joseph's Hospital and Health Center
Stark Richardton Health CenterStutsman Jamestown HospitalStutsman North Dakota State Hospital
TownerTowner County Medical Center
Traill Hillsboro Medical CenterTraill Union HospitalWalsh Unity Medical CenterWalsh First Care Health Center
WardTrinity Kenmare Community Hospital
Ward Trinity HealthWells St. Aloisius Medical CenterWilliams Tioga Medical CenterWilliams Mercy Medical Center
Created December 31, 2008Modified December 3, 2014
26
HOSPITAL OVERLOAD STATUS
Hospital Current Census
Current Staffing
Percent Overload
Percent Overload
Percent Overload
3 day Growth Rate
01/01/2009 01/02/2009 01/03/2009West River Regional Medical CenterMercy HospitalSt. Andrew's Health CenterSouthwest Healthcare ServicesSt. Alexius Medical CenterMedcenter One Health SystemsInnovis HealthMeritCare HospitalFargo VAPrairie St John'sSCCI Hospital - FargoCavalier County Memorial HospitalOakes Community HospitalSt. Luke's HospitalLinton HospitalCarrington Health Center
Altru Health SystemNorthwood Deaconess Health CenterJacobson Memorial Hospital Care CenterCooperstown Medical CenterAshley Medical CenterWishek Community Hospital and ClinicsMcKenzie County Memorial HospitalCommunity Memorial HospitalGarrison Memorial HospitalSakakawea Medical CenterMountrail County Medical CenterNelson County Health System-HospitalPembina County Memorial HospitalHeart of America Medical Center Mercy HospitalLisbon Area Health Services
Created December 31, 2008Modified December 3, 2014
27
Presentation Medical Center
IHS Standing Rock HospitalSaint Joseph's Hospital and Health CenterRichardton Health CenterJamestown HospitalNorth Dakota State HospitalTowner County Medical Center
Hillsboro Medical CenterUnion HospitalUnity Medical Center
First Care Health CenterTrinity Kenmare Community HospitalTrinity Health
St. Aloisius Medical Center
Tioga Medical Center
Mercy Medical Center
Created December 31, 2008Modified December 3, 2014
28
HOSPITAL WORKFORCE STATUS
County Hospital
Percentage of Normal Staffing, Critical Care01/01/09
Percentage of Normal Staffing, Critical Care01/02/09
Percentage of Normal Staffing, Non-Critical Care01/01/09
Percentage of Normal Staffing, Non-Critical Care01/02/09
AdamsWest River Regional Medical Center
Barnes Mercy HospitalBottineau St. Andrew's Health Center
BowmanSouthwest Healthcare Services
Burleigh St. Alexius Medical Center
BurleighMedcenter One Health Systems
Cass Innovis HealthCass MeritCare HospitalCass Fargo VACass Prairie St John'sCass SCCI Hospital - Fargo
CavalierCavalier County Memorial Hospital
Dickey Oakes Community HospitalDivide St. Luke's HospitalEmmons Linton HospitalFoster Carrington Health CenterGrand F Altru Health System
Grand FNorthwood Deaconess Health Center
GrantJacobson Memorial Hospital Care Center
Griggs Cooperstown Medical CenterMcIntosh Ashley Medical Center
McIntoshWishek Community Hospital and Clinics
McKenzieMcKenzie County Memorial Hospital
McLeanCommunity Memorial Hospital
McLean Garrison Memorial HospitalMercer Sakakawea Medical Center
MountrailMountrail County Medical Center
NelsonNelson County Health System-Hospital
PembinaPembina County Memorial Hospital
PierceHeart of America Medical Center
Ramsey Mercy HospitalRansom Lisbon Area Health ServicesRolette Presentation Medical Center
Created December 31, 2008Modified December 3, 2014
29
Sioux IHS Standing Rock Hospital
StarkSaint Joseph's Hospital and Health Center
Stark Richardton Health CenterStutsman Jamestown HospitalStutsman North Dakota State Hospital
TownerTowner County Medical Center
Traill Hillsboro Medical CenterTraill Union HospitalWalsh Unity Medical CenterWalsh First Care Health Center
WardTrinity Kenmare Community Hospital
Ward Trinity HealthWells St. Aloisius Medical CenterWilliams Tioga Medical CenterWilliams Mercy Medical Center
Created December 31, 2008Modified December 3, 2014
30
MCF FACILITY Planned Maximum Acute* Census
Census01/1/2009
Census 01/02/2009
PercentageAssisted Living01/01/2009
* Seriously ill patients (i.e., not assisted living)
Created December 31, 2008Modified December 3, 2014
31
DATE____________SKILLED CARE NURSING HOMES
Number Disaster-Related Cases
Current Census Deaths Past 24 Hours
Western Horizons Care Center ADAMSSheyenne Care Center BARNESGood Samaritan Society - Bottineau BOTTINEAUWesthope Home BOTTINEAUSouthwest Healthcare Servs BOWMANBaptist Home Inc BURLEIGHMedcenter One Subacute Cr BURLEIGHMissouri Slope Luth Care Ctr BURLEIGHSt Alexius Medical Ctr Tcu BURLEIGHMedcenter One St Vincents BURLEIGHGood Samaritan Society - Arthur CASSBethany Homes CASSElim Care Center CASSManor Care Health Services CASSMeritcare Hospital Tcu CASSRosewood On Broadway CASSVilla Maria CASSMaple Manor Care Center CAVALIERGood Samaritan Society - Osnabrock CAVALIERPrince Of Peace Care Center DICKEYGood Samaritan Society - Oakes DICKEYGood Samaritan Society - Crosby DIVIDEHill Top Home Of Comfort Inc DUNNLutheran Home Of The Good Shepherd EDDYStrasburg Nursing Home EMMONSGolden Acres Manor FOSTERValley Eldercare Ctr GFWoodside Village GFGood Samaritan Society - Larimore GFNorthwood Deaconess Health Cnt GFJacobson Memorial Hospital Care Center GRANTCooperstown Medical Ctr Nursing Home GRIGGSGood Samaritan Society - Mott HETTINGER
Created December 31, 2008Modified December 3, 2014
32
Medcenter One Golden Manor KIDDERSt Rose Care Center LAMOURENapoleon Care Center LOGANSouris Valley Care Center MCHENRYAshley Medical Center Nursing Home MCINTOSHWishek Home For The Aged MCINTOSHMckenzie County Healthcare Systems Long Term Care MCKENZIEGarrison Mem Hosp Nsg Fac MCLEANBenedictine Living Center Of Garrison MCLEANMedcenter One Prairieview MCLEANKnife River Care Center MERCERMarian Manor Healthcare Center MORTONDakota Alpha MORTONMedcenter One Care Center MORTONElm Crest Manor MORTONGood Samaritan Society - Rock View At Parshall MOUNTRAILMountrail Bethel Home MOUNTRAILAneta Parkview Health Ctr NELSONGood Samaritan Society - Lakota NELSONNelson County Health System Care Center NELSONWedgewood Manor PEMBINAPembilier Nursing Center PEMBINAHeart Of America Nursing Facility PIERCEGood Samaritan Society - Devils Lake RAMSEYHeartland Care Center RAMSEYMaryhill Manor RANSOMNorth Dakota Veteran Home RANSOMParkside Lutheran Home RANSOMGood Samaritan Society - Mohall RENVILLESt Gerards Community Nursing Home RISHLANDSt Catherines Living Center RISHLANDDunseith Com Nursing Home ROLETTERolette Community Care Center ROLETTEFour Seasons Health Care Inc SARGENTSt Benedicts Health Center STARKSt Lukes Home STARKAve Maria Village STUTSMANHi-Acres Manor Nursing Ctr STUTSMAN
Created December 31, 2008Modified December 3, 2014
33
Towner County Living Ctr TOWNERTri-County Health Center TRAILLHillsboro Medical Center Nursing Home TRAILLLuther Memorial Home TRAILLGood Samaritan Society - Park River WALSHLutheran Sunset Home WALSONKenmare Com Hospital Snu WARDManor Care Health Services WARDTrinity Homes WARDSt Aloisius Medical Center Nursing Home WELLSTioga Medical Center Ltc WILLIAMSBethel Lutheran Home WILLIAMS
Created December 31, 2008Modified December 3, 2014
34
DATE____________ BASIC CARE NURSING HOMES
Number Disaster-Related Cases
Current Census
Deaths Past 24 Hours
Western Horizons Care Center ADAMSHi Soaring Eagle Ranch BARNESMaddock Memorial Home BENSONSouthwest Healthcare Services BOWMANBaptist Home Basic Care BURLEIGHEdgewood Bismarck Senior Living BURLEIGHMaple View 2 East BURLEIGHThe Terrace BURLEIGHWaterford On West Century BURLEIGHMaple View BURLEIGHGood Samaritan Society - Arthur (Prairie Villa) CASSEvergreens Of Fargo CASSWaterford At Harwood Groves CASSEdgewood Vista Of Fargo CASSGood Samaritan Society - Fargo CASSSheyenne Crossings - Prairie Square CASSGood Samaritan Society - Osnabrock CAVALIEREllendale Evergreen Place DICKEYGood Samaritan Society - Crosby DIVIDEHoly Family Villa FOSTERParkwood Place Inn GFSt Annes Guest Home GFTufte Manor GFDakota Hill Housing GRANTGood Samaritan Society - Mott HETTINGERManor St Joseph LAMOUREGackle Care Center LOGANMckenzie County Healthcare Systems Inc MCKENZIERedwood Village MCLEANSenior Suites At Sakakawea MERCERDakota Pointe MORTONGood Samaritan Society - New Town MOUNTRAILBorg Pioneer Memorial Home PEMBINAPembilier Nursing Center PEMBINAHarold S Haaland Home PIERCE
Created December 31, 2008Modified December 3, 2014
35
Odd Fellows Home RAMSEYEdmore Memorial Rest Home RAMSEYGood Samaritan Society - Lake Country RAMSEY North Dakota Veterans Home RANSOMSt Catherines Living Center RICHLANDLeach Home RICHLANDFour Seasons Healthcare Cn Inc SARGENTSheridan Memorial Home SHERIDANEvergreen STARKCountryhouse STARKBethel 4 Acres Ltd STUTSMANRoseadele STUTSMANRock Of Ages STUTSMANSt Francis Residence TOWNERBaptist Home Of Kenmare WARDEdgewood Minot Senior Living, Llc WARDEdgewood Minot Senior Living, Llc - Alzheimers WARDEmerald Court WARDBethel Lutheran Nelson Manor Bc WILLIAMSKensington Williston Llc WILLIAMS
Created December 31, 2008Modified December 3, 2014
36
EMS SERVICE STATUS AND PERCENTAGE FUNCTIONING
COMPANY CITYSTATE
Status*
% Usual Personnel
ALS Capable
BLS Capable
Rock Lake Ambulance Service Rock Lake NDBowman Ambulance Squad Inc Bowman ND5th Medical Group Ambulance Service Minot AFB NDAlmont Ambulance Service Almont NDAltru Health System Ambulance Service Grand Forks ND
Ambulance Service, Inc.Breckenridge MN
Aneta Ambulance Service Aneta NDAshley Ambulance Service Ashley NDAvera St. Lukes Careflight Aberdeen SDBarnes County / City Ambulance Valley City NDBelcourt Ambulance Service Belcourt NDBelfield Ambulance Service Inc. Belfield NDBerthold Ambulance Service Inc. Berthold NDBillings County Ambulance Service Medora NDBismarck Air Medical LLC Mandan NDBlack Hills Life Flight Rapid City SDBottineau Ambulance Service Bottineau NDBowbells Ambulance Service Bowbells NDBowdon Ambulance Service Bowdon NDCarpio Ambulance Service Carpio NDCarrington Health Center Ambulance Carrington NDCarson Ambulance Service Carson NDCasselton Ambulance Service, Inc. Casselton NDCavalier Ambulance Service, Inc. Cavalier NDCoal Creek Station Amb Service - GRE Underwood NDCommunity Ambulance Service Inc. Beach NDCommunity Ambulance Service Of Rolla Rolla NDCommunity Ambulance Service of New Rockford
New Rockford ND
Community Ambulance Service, Inc. Minot NDCommunity Volunteer EMS of LaMoure LaMoure ND
Cooperstown Ambulance ServiceCooperstown ND
Coteau Properties Co.--Ambulance Service Beulah NDDakota Gasification Co.--Ambulance Service Beulah NDDickinson Area Ambulance Service, Inc. Dickinson ND
Created December 31, 2008Modified December 3, 2014
37
Divide County Ambulance Service Crosby NDDrayton Volunteer Ambulance Association Inc. Drayton NDEdgeley Ambulance Service Edgeley NDEdmore Volunteer Ambulance Service Edmore NDEllendale Community Ambulance Service Ellendale NDEmmons County Ambulance Service Linton NDEsmond Community Ambulance Service Esmond NDF-M Ambulance Service Inc - West Fargo Fargo NDF-M Ambulance Service, Inc. Fargo NDFalkirk Mine Ambulance Service Underwood NDFessenden Ambulance Service Fessenden NDFinley Ambulance Service Finley NDFirst Medic Ambulance of Ransom County Lisbon NDFlasher Ambulance Service Flasher NDGackle Ambulance Service Gackle NDGarrison - Max Ambulance District Garrison NDGlen Ullin Area Ambulance Service Glen Ullin NDGlenburn Area Ambulance Service Inc Glenburn NDGolden Heart EMS Rugby NDGoodrich Ambulance Service Goodrich NDGrenora Ambulance Service Grenora NDHalliday Ambulance Service Halliday NDHankinson Vol Ambulance Service Hankinson NDHarvey Ambulance Service, Inc. Harvey NDHebron Ambulance Service Hebron NDHillsboro Ambulance Service Hillsboro NDHope Ambulance Service Hope NDHunter Ambulance Service Hunter NDJamestown Area Ambulance Fergus Falls MNJud Edgeley NDKenmare Ambulance Service Kenmare NDKidder County Ambulance Service Steele NDKilldeer Area Ambulance Service Inc Killdeer NDKindred Area Ambulance Service Kindred NDKulm Ambulance Corps, Inc. Kulm NDLake Region Ambulance Service Devils Lake NDLakota Ambulance Service Lakota NDLangdon Ambulance Service Langdon NDLansford Ambulance Service Lansford ND
Created December 31, 2008Modified December 3, 2014
38
Larimore Ambulance Service Inc. Larimore NDLeeds Ambulance Service Leeds NDLemmon EMT Association Lemmon SDLidgerwood Rural Ambulance Service District Lidgerwood NDMaddock Ambulance Service Maddock NDMarmarth Ambulance Service Marmarth NDMcclusky Rural Ambulance District McClusky NDMchenry Ambulance Service McHenry NDMcintosh V.F.D. Ambulance Service McIntosh SDMckenzie County Ambulance Service Watford City NDMcville Community Ambulance Service McVille NDMedina Ambulance Service Medina NDMercer Co Amb Service Inc -- Hazen Hazen NDMercer County Ambulance Service Inc. -- Beulah Hazen NDMeritcare Lifeflight Fargo NDMetro Area Ambulance Service Inc (M) Mandan NDMetro Area Ambulance Service Inc - Bismarck Mandan NDMichigan Area Ambulance Service Inc. Michigan NDMohall Ambulance Service Mohall NDMott Ambulance Service Mott NDMunich Rural Ambulance Munich NDNapoleon Ambulance Service Napoleon ND
New England Ambulance ServiceNew England ND
New Salem Ambulance Service New Salem NDNew Town Community Amb. Service District New Town NDNorman County EMS Ada MNNorthwood Ambulance Service Northwood NDOakes Volunteer Ambulance Service Oakes NDOliver County Ambulance Service Center NDPage Ambulance Service Page NDPark River Volunteer Ambulance Service Park River NDParshall Rural Ambulance Service Inc. Parshall NDPembina Ambulance Service Pembina NDPortal Ambulance Service Portal NDPowers Lake Ambulance Association Powers Lake NDRay Community Ambulance District Ray NDRegent Ambulance Service Regent NDRichardton-Taylor Ambulance Service Richardton ND
Created December 31, 2008Modified December 3, 2014
39
Richland County Ambulance Sidney MTRiverdale Ambulance Department Riverdale NDRolette Ambulance Service, Inc Rolette NDRugby Emergency Ambulance Service Rugby NDRyder-Makoti Ambulance Service Ryder NDSargent County Amb Service - Forman Forman NDSargent County Ambulance Service Milnor NDSherwood Ambulance Service Sherwood NDSpirit Lake Emergency Medical Service Fort Totten NDStanding Rock Ambulance Service Ft. Yates NDStanley Ambulance Service Stanley NDTioga Ambulance Service Tioga NDTowner County Ambulance Service Inc. - Cando Cando NDTowner Fire, Ambulance, and Rescue Service, Inc. Towner NDTrinity Northstar Criticair Minot NDTurtle Lake Ambulance Service Turtle Lake NDUnderwood Ambulance Service Underwood NDUpham Ambulance Service Towner NDValley Ambulance & Rescue Serv Inc Grafton NDVelva Ambulance Service Velva NDWalhalla Ambulance Service Walhalla NDWashburn Volunteer Ambulance Serv Washburn NDWest River Ambulance Service Hettinger NDWest Traill Ambulance Service Mayville NDWesthope Ambulance Service Westhope NDWilliston Ambulance Service Williston NDWilton Rural Ambulance Service Wilton NDWing Rural Ambulance Wing NDWishek Ambulance Service Wishek NDWyndmere-Barney Rural Amb Dist Wyndmere ND
*What is the operational status of the service: functional or out-of-service
Created December 31, 2008Modified December 3, 2014
40
COMMUNITY CONTAINMENT REPORT [DATE]
County # Voluntary Quarantine # Mandatory Quarantine
Created December 31, 2008Modified December 3, 2014
41
MAP OF QUARANTINE NUMBERS BY COUNTY
GRAPH OF TOTAL PATIENTS UNDER QUARANTINE BY DATE
PROPHYLAXIS AND TREATMENT REPORT[DATE] [TIME]
Mass Antibiotic Dispensing ProgressPOD Name Location Courses
Disp Past 24 Hours
Total Courses Disp
% of Target Pop Complete
Undispensed Courses in Inventory
Vaccine Second Dose Tracking County Number of Persons >60 Days
Since First Vaccine Dose
Priority Vaccine Coverage by Tier County Tier % Coverage
COUNTY 1Tier 1-priority 1 HCW1Tier 1 Priority 2 H SecurityTier 1 Priority 3 EMSTier 1 Priority 4 HCW2Tier 1 Priority 5 Fire/PoliceTier 1 Priority 6 Preg/6-12mTier 1 Priority 7 Other HCWTier 2 Border ProtectionTier 2 National GuardTier 2 Community SupportTier 2 Utility infrastructureTier 2 Critical Govt (State) Tier 2 Critical Govt (Local)Tier 2 HH Contacts of <6mo
Created December 31, 2008Modified December 3, 2014
42
Tier 2/3 High Risk ChildrenTier 3 Other HCW-not directTier 3 Other Active Duty MilTier 3 TransportationTier 3 Food and AgricultureTier 3 Banking and FinanceTier 3 PharmaceuticalTier 3 ChemicalTier 3 PostalTier 3 ShippingTier 3 Other Govt COOPTier 3/4 Adult Hi-Risk& 65+
COUNTY 2
ANTIVIRAL USE RATE
COUNTY POPULATIONKNOWN CASES
ANTIVIRAL USE RATE/1000 POP
Adams 2,593 Barnes 11,775 Benson 6,964 Billings 888 Bottineau 7,149 Bowman 3,242 Burke 2,242 Burleigh 69,416 Cass 123,138 Cavalier 4,831 Dickey 5,757 Divide 2,283 Dunn 3,600 Eddy 2,757 Emmons 4,331 Foster 3,759 Golden V. 1,924 Grand Forks 66,109 Grant 2,841 Griggs 2,754 Hettinger 2,715 Kidder 2,753 LaMoure 4,701
Created December 31, 2008Modified December 3, 2014
43
Logan 2,308 McHenry 5,987 McIntosh 3,390 McKenzie 5,737 McLean 9,311 Mercer 8,644 Morton 25,303 Mountrail 6,631 Nelson 3,715 Oliver 2,065 Pembina 8,585 Pierce 4,675 Ramsey 12,066 Ransom 5,890 Renville 2,610 Richland 17,998 Rolette 13,674 Sargent 4,366 Sheridan 1,710 Sioux 4,044 Slope 767 Stark 22,636 Steele 2,258 Stutsman 21,908 Towner 2,876 Traill 8,477 Walsh 12,389 Ward 58,795 Wells 5,102 Williams 19,761
Created December 31, 2008Modified December 3, 2014
44
SUPPLY CACHE REPORT[DATE]
Item Description FormStarting
Qty%
RemainingUse Rate
Est Out Date
2-way radios (Dakota Comm) 2/set 5 Port O2 Manifold 5 Port O2 Manifold Adult Tongue Blade 6 in 500/Box 10BX/CS Non-sterile AEDs, Zoll Alcohol Gel Cleanser Hand Sanitizer 24/CS All Silicone Foley Cath Tray 18FR 5cc 20/CS Aluminum Commode 4/CS Assure 3 Glocose Test Strips 100/Pkg Assure 3 Glucose Monitor Bag, Ambu, Infant, Disposable 6 per case Bag, Ambu, Pediatric, Disposable 6 per case Bags, Urinary Drainage 20 per case Band ID, Clear, Adult (latex free) 250/BX Basin, Emesis 250/CS Bath Wipes 48/CS Bedpan Fracture Style 250/CS Bedpan-Disposable/Ivory 20/CS Brief, Ultra, Adult, Large 80/CS Brief, Ultra, Adult, Medium 80/CS Brief, Ultra, Adult, Small 96/CS Cannula Tubing, Oxygen, Nasal adult 25/CS Cannula Tubing, Oxygen, Nasal infant 50/CS Cannula Tubing, Oxygen, Nasal pediatric 50/CS Cannula, over the ear standard Dial Soap Bar .67 OZ 1000/CS Disposable Nipple & Nut Christmas Tree O2 50/CS Disposable Suction Cannisters 10/CS Durapore Cloth Tape 1N 12RL/BX 10BX/CS Economy Folding Screen Economy Folding Screen Panels Forensic Bags, adult Forensic bags, child Forensic Bags, infant Gown, Provider, Open Back, Large 12/DZ Gown, Provider, Open Back, Medium 12/DZ Hand Held Suction Device INSYTE IV CATH 16Gx1.16in 50/Box 4BX/CS INSYTE IV CATH 18Gx1.16in 50/Box 4BX/CS Interlink Basic Sol'N Set S INJ.SITE 70" 48/CS Isolation Gown 50 per CS IV Stand 2 Hook Magellan Safety NDL 20Gx1.5" 50/BX 10BX/CS Mask, Oxygen, Non-Rebreather adult 50/CS Mask, Oxygen, Non-Rebreather pediatric 50/CS
Created December 31, 2008Modified December 3, 2014
45
Minor Laceration Tray W/Instruments 20/CS N95 Respirator Mask Reg 3M 1860 120 per CS N95 Respiratory Mask Medicom 160 per CS N95 Respiratory Mask Small 3M 1860S 120/CS Nitrile Exam Glove Large 1000 per CS Nitrile Exam Glove Medium 1000 per CS Nitrile Exam Glove Small 1000 per CS OB Kit/Boxed 10/Case Oxygen Cylinder E Tanks with on/off valve Oxygen Non-Rebreathing Mask Oxygen Non-Rebreathing Mask with Tubing Oxygen Regulator Pad, under 150/CS Pocket Aneroid Adult Pocket Aneroid Child Pocket Aneroid Infant Pocket Aneroid Large Adult Pocket Aneroid Thigh Portable Ventilators, Adult Portable Ventilators, Infant Privacy Screen, 3-Fold Panel 1 ea Protective Eyewear/Glasses 50 per CS Pulse Oximeter w/sensor Resuscitator Mask Adult Resuscitator Mask Child 6/CS Rioking Aluminum Folding Cot Scissor, Lister, 7-1/4' 1ea Sharps Container w/needle remover 20/CS SOD. CHLORIDE.9% INJ.1000ML.USP NACL 14/CS Soft-Fall Bedside Mat-Non-slip Sphygmomanometer, Aroid Set, BP Cuff, Adult 1/ea Sphygmomanometer, Aroid Set, BP Cuff, Child 1/ea Sphygmomanometer, Aroid Set, BP Cuff, Infant 1/ea Stand-IV, 4 legs 1/EA Stethoscope 1/EA Stethoscope Black Stethoscope Cardiology 1/ea Suction Cath 14 FR Adult 50/CS Suction Cath 14FR W/Control VLV 50/CS Suction Cath 8 FR Peds 50/CS Surgical Mask/Tie 300 per CS Surgical Mask/Tie 3M 1818 50/BX 12 BX/CS Surgical Mask/Tie with Shield 100 per CS Syringe 12cc Luer Lock 80/BX 6BX/CS Syringe 60cc Luer Lock 20/Box 5BX/CS Syringe 6cc Luer Lock 50/Box 10BX/CS Syringe INS U100 1CC 29Gx1/2in Safety 100/BX 5BX/CS Tendersorb Abd Pad 7.5x8in 20/TRA 10TRA/CS Sterile Thermometer, Probe Cover 200/pk
Created December 31, 2008Modified December 3, 2014
46
Thermoscan Tympanic Thermometer Tooth Brush Toothpast Freshmint Trash bags, clear 100/CS Trash bags, red infecitous waste (Cole Paper) 250/CS Uniquet Tourniquet Reuse Ltx-Free 25/Box 20BX/CS Urinal, Male, Disposable 50/CS Webcol Alcohol Preps Medium 200/BX/CS
Created December 31, 2008Modified December 3, 2014
47
Critical Supply Item Usage Trend Graph (day by usage rate for single item)